Selection of antimalarial drug resistance after intermittent preventive treatment of infants and children (IPTi/c) in Senegal

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  • Magatte Ndiaye
  • Roger Tine
  • Babacar Faye
  • Jean Louis Ndiaye
  • Ami Colle Lo
  • Khadime Sylla
  • Annie Abiola
  • Yémou Dieng
  • Daouda Ndiaye
  • Rachel Hallett
  • Oumar Gaye
  • Alifrangis, Michael
Abstract. Our study investigated the possible impact of SP-IPT given to infants and children on the prevalence of SP-resistant haplotypes in the Plasmodium falciparum genes Pfdhfr and Pfdhps, comparing sites with and without IPTi/c. P. falciparum positive samples (N = 352) collected from children <5 years were analyzed to determine the prevalence of SP resistance-related haplotypes by nested PCR followed by sequence-specific oligonucleotide probe-enzyme-linked immunosorbent assay. The prevalence of the Pfdhfr triple mutant haplotype (CIRN) increased in both groups, but only significantly in the IPTi/c group from 41% to 65% in 2011 (P = 0.005). Conversely, the Pfdhps 437G mutation decreased in both groups from 44.6% to 28.6% (P = 0.07) and from 66.7% to 47.5% (P = 0.02) between 2010 and 2011 in the control and the IPTi/c groups, respectively. A weak trend for decreasing prevalence of quadruple mutants (triple Pfdhfr + Pfdhps 437G) was noted in both groups (P = 0.15 and P = 0.34). During the two cross-sectional surveys some significant changes were observed in the SP resistance-related genes.
Original languageEnglish
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume88
Issue number6
Pages (from-to)1124-9
Number of pages6
ISSN0002-9637
DOIs
Publication statusPublished - Jun 2013

ID: 46152465